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Identification and Replication of Urine Metabolites Associated With Short-Term and Habitual Intake of Sweet and Fatty Snacks in European Children and Adolescents 鉴定并复制欧洲儿童和青少年与短期和习惯性摄入甜食和油腻零食有关的尿液代谢物。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.026
Jantje Goerdten , Samuel Muli , Jodi Rattner , Mira Merdas , David Achaintre , Li Yuan , Stefaan De Henauw , Ronja Foraita , Monica Hunsberger , Inge Huybrechts , Lauren Lissner , Dénes Molnár , Luis A Moreno , Paola Russo , Toomas Veidebaum , Krasimira Aleksandrova , Ute Nöthlings , Kolade Oluwagbemigun , Pekka Keski-Rahkonen , Anna Floegel

Background

Intake of sweet and fatty snacks may partly contribute to the occurrence of obesity and other health conditions in childhood. Traditional dietary assessment methods may be limited in accurately assessing the intake of sweet and fatty snacks in children. Metabolite biomarkers may aid the objective assessment of children’s food intake and support establishing diet–disease relationships.

Objectives

The present study aimed to identify biomarkers of sweet and fatty snack intake in 2 independent cohorts of European children.

Methods

We used data from the IDEFICS/I.Family cohort from baseline (2007/2008) and 2 follow-up examination waves (2009/2010 and 2013/2014). In total, 1788 urine samples from 599 children were analyzed for untargeted metabolomics using high-resolution liquid chromatography-mass spectrometry. Short-term dietary intake was assessed by 24-h dietary recalls, and habitual dietary intake was calculated with the National Cancer Institute method. Data from the Dortmund Nutritional and Anthropometric Longitudinal Designed (DONALD) cohort of 24-h urine samples (n = 567) and 3-d weighted dietary records were used for external replication of results. Multivariate modeling with unbiased variable selection in R algorithms and linear mixed models were used to identify novel biomarkers. Metabolite features significantly associated with dietary intake were then annotated.

Results

In total, 66 metabolites were discovered and found to be statistically significant for chocolate candy; cakes, puddings, and cookies; candy and sweets; ice cream; and crisps. Most of the features (n = 62) could not be annotated. Short-term and habitual chocolate intake were positively associated with theobromine, xanthosine, and cyclo(L-prolyl-L-valyl). These results were replicated in the DONALD cohort. Short-term candy and sweet intake was negatively associated with octenoylcarnitine.

Conclusions

Of the potential metabolite biomarkers of sweet and fatty snacks in children, 3 biomarkers of chocolate intake, namely theobromine, xanthosine, and cyclo(L-prolyl-L-valyl), are externally replicated. However, these potential biomarkers require further validation in children.
背景:儿童摄入甜食和油腻零食可能是导致肥胖和其他健康问题的部分原因。传统的膳食评估方法在准确评估儿童甜食和油腻零食的摄入量方面可能存在局限性。代谢物生物标志物可帮助客观评估儿童的食物摄入量,并有助于建立饮食与疾病之间的关系:本研究旨在确定两个独立的欧洲儿童队列中甜食和油腻零食摄入量的生物标志物:我们使用了IDEFICS/I.Family队列中基线(2007/2008年)和两次随访检查(2009/2010年和2013/2014年)的数据。我们使用高分辨率液相色谱-质谱联用技术对599名儿童的1788份尿液样本进行了非靶向代谢组学分析。短期膳食摄入量通过 24 小时膳食回忆进行评估,习惯性膳食摄入量则采用美国国家癌症研究所的方法进行计算。来自 DONALD 队列的 24 小时尿样数据(n=567)和 3 天加权膳食记录用于外部结果的复制。使用 R 中无偏变量选择算法(MUVR)和线性混合模型建立多变量模型,以确定新的生物标志物。然后注释了与膳食摄入量明显相关的代谢物特征:结果:总共发现了 66 个代谢物,并发现它们对 "巧克力糖"、"蛋糕、布丁和饼干"、"糖果和甜食"、"冰淇淋 "和 "薯片 "具有统计学意义。大多数特征(n=62)无法注释。短期和习惯性巧克力摄入量与可可碱、黄嘌呤核苷和环(L-脯氨酰-L-缬氨酰)呈正相关。这些结果在 DONALD 队列中得到了验证。短期 "糖果和甜食 "摄入量与辛烯酰卡尼汀呈负相关:我们确定了儿童甜食和脂肪零食的潜在代谢物生物标志物,其中巧克力摄入量的三个生物标志物,即可可碱、黄嘌呤核苷和环(L-脯氨酰-L-缬氨酰)得到了外部复制。不过,这些潜在的生物标志物还需要在儿童中进一步验证。
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引用次数: 0
True Digestibility of Tryptophan in Plant and Animal Protein 植物蛋白和动物蛋白中色氨酸的真正消化率。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.014
Sindhu Kashyap , Sarita Devi , Roshni M Pasanna , Thomas Preston , Anura V Kurpad

Background

Protein quality, evaluated using Digestible Indispensable Amino Acid Score (DIAAS), requires ileal digestibility values of individual indispensable amino acids (IAAs) in each protein. However, true tryptophan (Trp) digestibility has rarely been quantified in humans.

Objective

To measure the true Trp digestibility and DIAAS of 2H-intrinsically labeled plant and animal protein sources in humans, using the dual isotope tracer technique.

Methods

The true Trp digestibility of 2H intrinsically labeled plant proteins such as whole mung bean (n = 6) and dehulled mung bean (n = 6), chickpea (n = 5), and yellow pea (n = 5), and protein from animal source foods such as egg white (n = 6), whole egg (n = 6), chicken meat (n = 6), and goat milk (n = 7) was determined against the known digestibility of U-13C spirulina whole cell protein as reference, except for goat milk protein that was measured against free crystalline 13C-Trp as reference. Banked samples from earlier studies conducted to determine true IAA digestibility of different protein sources were used for the analysis. DIAAS was calculated for each test protein using digestibility corrected IAA scores (mg IAA/g of protein) in comparison with the IAA requirement score for adults.

Results

The true Trp digestibility of whole mung bean, dehulled mung bean, chickpea, yellow pea, egg white, whole egg, chicken meat, and goat milk were 67.6 ± 3.7%, 74.5 ± 4.4%, 72.6 ± 2.3%, 72.5 ± 2.2%, 89.7 ± 2.5%, 91.4 ± 2.6%, 95.9 ± 2.2%, and 92.8 ± 2.9%, respectively. The true Trp digestibility of plant protein sources was significantly lower than that of animal protein sources (P < 0.05). Trp was not a limiting IAA in all the tested proteins.

Conclusion

The true Trp digestibility determined in this study ranged from 67.6 ± 3.7% to 95.9 ± 2.2% for whole mung bean and chicken meat, respectively, and adds to the database of individual true IAA digestibility of different protein sources.

Trial registration number

This study was registered in Clinical Trials Registry of India (CTRI) with registration numbers CTRI/2017/11/010468, CTRI/2020/04/024512, and CTRI/2018/03/012265.
背景:使用可消化不可缺少氨基酸评分(DIAAS)评估蛋白质质量需要每种蛋白质中单个不可缺少氨基酸(IAA)的回肠消化率值。然而,人类对色氨酸(Trp)的真正消化率却很少进行量化:目的:采用双同位素示踪技术测量人体对 2H 内标植物和动物蛋白质来源中 Trp 的真实消化率和 DIAAS:全绿豆(n=6)和去壳绿豆(n=6)、鹰嘴豆(n=5)和黄豌豆(n=5)等 2H 内标植物蛋白以及蛋白(n=6)、全蛋(n=6)、鸡肉(n=6)和山羊肉(n=6)等动物源食物蛋白质的真实 Trp 消化率、鸡肉(6 个)和山羊奶(7 个)中的蛋白质是以已知的 U-13C 螺旋藻全细胞蛋白质消化率为参考测定的,但山羊奶蛋白质除外,它是以游离结晶 13C-Trp 为参考测定的。分析中使用了先前为确定不同蛋白质来源的真正 IAA 消化率而进行的研究中的库存样品。使用消化率校正 IAA 分数(毫克 IAA/克蛋白质)与成人 IAA 需要量分数进行比较,计算出每种测试蛋白质的 DIAAS:全绿豆、去壳绿豆、鹰嘴豆、黄豌豆、蛋白、全蛋、鸡肉和羊奶的 Trp 真实消化率分别为 67.6±3.7%、74.5±4.4%、72.6±2.3%、72.5±2.2%、89.7±2.5%、91.4±2.6%、95.9±2.2% 和 92.8±2.9%。植物蛋白源的真实 Trp 消化率明显低于动物蛋白源(p 结论:植物蛋白源的真实 Trp 消化率与动物蛋白源的真实 Trp 消化率存在显著差异:本研究测定的全绿豆和鸡肉的真实Trp消化率分别为67.6±3.7%至95.9±2.2%,为不同蛋白质来源的个体真实IAA消化率数据库增添了新的内容。本研究已在印度临床试验注册中心(CTRI)注册,注册号为:ctri/2017/11/0104:CTRI/2017/11/010468, CTRI/2020/04/024512, CTRI/2018/03/012265.
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引用次数: 0
Food Consumption and Risk of Islet Autoimmunity and Type 1 Diabetes in Children at Increased Genetic Susceptibility for Type 1 Diabetes 食物摄入量与 1 型糖尿病遗传易感性增高儿童的胰岛自身免疫和 1 型糖尿病风险。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.018
Suvi M Virtanen , Essi J Peltonen , Leena Hakola , Sari Niinistö , Hanna-Mari Takkinen , Suvi Ahonen , Mari Åkerlund , Ulla Uusitalo , Markus Mattila , Tuuli EI Salo , Jorma Ilonen , Jorma Toppari , Riitta Veijola , Mikael Knip , Jaakko Nevalainen

Background

Prospective longitudinal evidence considering the entire childhood food consumption in relation to the development of islet autoimmunity (IA or) type 1 diabetes is lacking.

Objectives

We studied the associations of consumption of various foods and their combinations with IA and type 1 diabetes risk.

Methods

Children with genetic susceptibility to type 1 diabetes born in 1996–2004 were followed from birth up to ≤6 y of age in the prospective birth cohort type 1 diabetes prediction and prevention study (n = 5674). Exposure variables included 34 food groups covering the entire diet based on repeated 3-d food records at ages 3 mo to 6 y. Endpoints were islet cell antibodies plus biochemical IA (n = 247), multiple biochemical IA (n = 206), and type 1 diabetes (n = 94). We analyzed associations between longitudinally observed foods and risk of IA/type 1 diabetes using a Bayesian approach to joint models in 1-food and multi-food models adjusted for energy intake, sex, human leukocyte antigen genotype, and familial diabetes.

Results

The final multi-food model for islet cell antibodies plus biochemical IA included oats [hazard ratio (HR): 1.09; 95% credible interval (CI): 1.04, 1.14], banana (HR: 1.07; 95% CI: 1.03, 1.11), and cruciferous vegetables (HR: 0.83; 95% CI: 0.73, 0.94). The final model for multiple biochemical IA included, in addition to the above-mentioned foods, fermented dairy (HR: 1.42; 95% CI: 1.12, 1.78) and wheat (HR: 1.10; 95% CI: 1.03, 1.18). The final multi-food model for type 1 diabetes included rye (HR: 1.27; 95% CI: 1.07, 1.50), oats (HR: 1.15; 95% CI: 1.03, 1.26), fruits (HR: 1.05; 95% CI: 1.01, 1.09), and berries (HR: 0.67; 95% CI: 0.50, 0.93).

Conclusions

Higher consumption of oats, gluten-containing cereals, and fruits was associated with increased that of cruciferous vegetables with decreased risk of several type 1 diabetes-related endpoints when considering all the foods in combination. Further etiological and mechanistic studies are warranted.
背景:目前还缺乏前瞻性的纵向证据,证明整个儿童时期的食物摄入与胰岛自身免疫(IA或)1型糖尿病的发生有关:我们研究了各种食物的摄入量及其组合与胰岛自身免疫和 1 型糖尿病风险的关系:方法:在前瞻性出生队列 1 型糖尿病预测和预防研究(n=5674)中,对 1996-2004 年出生的具有 1 型糖尿病遗传易感性的儿童进行了从出生到 6 岁的随访。暴露变量包括根据 3 个月至 6 岁期间 3 天重复食物记录得出的 34 种食物组,涵盖整个饮食。终点为胰岛细胞抗体(ICA)加生化IA(人数=247)、多种生化IA(人数=206)和1型糖尿病(人数=94)。我们采用贝叶斯方法分析了纵向观察到的食物与IA/1型糖尿病风险之间的关联,并根据能量摄入、性别、人类白细胞抗原(HLA)基因型和家族性糖尿病调整了单一食物模型和多种食物模型:ICA加生化IA的最终多食物模型包括燕麦[危险比(HR)1.09,95%可信区间(CI)1.04-1.14]、香蕉(HR 1.07,95% CI 1.03-1.11)和十字花科蔬菜(HR 0.83,95% CI 0.73-0.94)。多重生化指标IA的最终模型除上述食物外,还包括发酵乳制品(HR 1.42,95% CI 1.12-1.78)和小麦(HR 1.10,95% CI 1.03-1.18)。1型糖尿病的最终多种食物模型包括黑麦(HR 1.27,95% CI 1.07-1.50)、燕麦(HR 1.15,95% CI 1.03-1.26)、水果(HR 1.05,95% CI 1.01-1.09)和浆果(HR 0.67,95% CI 0.50-0.93):综合考虑所有食物,燕麦、含麸谷物和水果摄入量越高,患 1 型糖尿病相关终点的风险越高;十字花科蔬菜摄入量越高,患 1 型糖尿病相关终点的风险越低。有必要开展进一步的病因和机理研究。
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引用次数: 0
Serum Metabolomic Markers of Artificially Sweetened Beverage Consumption 饮用人工甜味饮料的血清代谢组学标记。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.024
Hejingzi Jia , Lauren Bernard , Jingsha Chen , Shutong Du , Lyn M Steffen , Kari E Wong , Bing Yu , Valerie K Sullivan , Casey M Rebholz

Background

The consumption of artificially sweetened beverages is on the rise. Use of artificial sweeteners has been associated with adverse health outcomes. There is a need to identify novel objective biomarkers of artificially sweetened beverages in order to improve dietary assessment and to provide insight into their metabolic impact.

Objectives

We aimed to identify serum metabolites that are associated with artificially sweetened beverage consumption.

Methods

In the Atherosclerosis Risk in Communities (ARIC) study, consumption of artificially sweetened beverages was assessed using a food frequency questionnaire and fasting serum samples were collected during the first study visit (1987–1989). Participants were categorized as nonusers if they reported almost never consumption of artificially sweetened beverages, moderate users for 1 glass/mo to 6 glasses/wk, and heavy users for ≥1 glasses/d. Untargeted metabolomic profiling was conducted in 2 subgroups (subgroup 1: n = 1866, profiled in 2010; subgroup 2 profiled in 2014: n = 2072), and 360 metabolites were analyzed. In this secondary data analysis, multivariable linear regression models were used, adjusting for demographics, health behaviors, health status, and dietary factors. Analyses were conducted in each subgroup and results meta-analyzed.

Results

In a meta-analysis of 3938 generally healthy participants (mean age, 54 y; 60% women; 62% Black participants) from ARIC study visit 1, 11 serum metabolites were significantly associated with artificially sweetened beverage consumption. Heavier consumption of artificially sweetened beverages was associated with higher concentrations of 10 metabolites (saccharin, threonate, erythronate, glycerate, gluconate, mannitol, glucose, tryptophan betaine, trehalose, and N6-acetyllysine) and lower concentrations of glycocholenate sulfate.

Conclusions

Eleven serum metabolites are related to artificially sweetened beverage intake, which consist of known sugar substitutes, processed food additives, glucose-related compounds, and gut microbiome–related metabolites. These findings enhance our knowledge of the metabolic activity of artificial sweeteners and suggests new biomarkers for monitoring intake.
背景:人工甜味饮料的消费量呈上升趋势。使用人工甜味剂与不良健康后果有关。有必要确定人工甜饮料的新型客观生物标志物,以改进膳食评估并深入了解其对代谢的影响:我们旨在确定与饮用人工甜味饮料有关的血清代谢物:在 "社区动脉粥样硬化风险"(ARIC)研究中,使用食物频率问卷对人工甜味饮料的消费情况进行了评估,并在第一次研究访问(1987-1989 年)期间采集了空腹血清样本。如果参与者表示几乎从未饮用过人工甜味饮料,则被归类为 "不饮用者";如果每月饮用 1 杯至每周饮用 6 杯,则被归类为 "中度饮用者";如果每天饮用≥1 杯,则被归类为 "大量饮用者"。在两个分组中进行了非目标代谢组学分析(分组1:n=1,866,2010年分析;分组2:n=2,072,2014年分析),分析了360种代谢物。在这项二次数据分析中,使用了多变量线性回归模型,并对人口统计学、健康行为、健康状况和饮食因素进行了调整。对每个分组进行了分析,并对结果进行了荟萃分析:在对 ARIC 研究访问 1 的 3938 名一般健康的参与者(平均年龄 54 岁,60% 为女性,62% 为黑人)进行的荟萃分析中,有 11 种血清代谢物与人工甜味饮料的摄入量显著相关。人工甜味饮料摄入量越高,10 种代谢物(糖精、苏氨酸、赤藓糖醇、甘油酸、葡萄糖酸、甘露醇、葡萄糖、色氨酸甜菜碱、曲哈糖和 N6-乙酰甘氨酸)的含量就越高,而硫酸甘胆烯酸酯的含量就越低:我们发现 11 种血清代谢物与人工甜味饮料的摄入有关,其中包括已知的糖替代品、加工食品添加剂、葡萄糖相关化合物和肠道微生物相关代谢物。这些发现增进了我们对人工甜味剂代谢活动的了解,并为监测摄入量提供了新的生物标志物。
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引用次数: 0
Diet, Microbiome, and Inflammation Predictors of Fecal and Plasma Short-Chain Fatty Acids in Humans 人类粪便和血浆中短链脂肪酸的饮食、微生物组和炎症预测因子。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.08.012
Andrew Oliver , Zeynep Alkan , Charles B Stephensen , John W Newman , Mary E Kable , Danielle G Lemay

Background

Gut microbes produce short-chain fatty acids (SCFAs), which are associated with broad health benefits. However, it is not fully known how diet and/or the gut microbiome could be modulated to improve SCFA production.

Objectives

The objective of this study was to identify dietary, inflammatory, and/or microbiome predictors of SCFAs in a cohort of healthy adults.

Methods

SCFAs were measured in fecal and plasma samples from 359 healthy adults in the United States Department of Agriculture Nutritional Phenotyping Study. Habitual and recent diet was assessed using a Food Frequency Questionnaire and Automated Self-Administered 24-h Dietary Assesment Tool dietary recalls. Markers of systemic and gut inflammation were measured in fecal and plasma samples. The gut microbiome was assessed using shotgun metagenomics. Using statistics and machine learning, we determined how the abundance and composition of SCFAs varied with measures of diet, inflammation, and the gut microbiome.

Results

We show that fecal pH may be a good proxy for fecal SCFA abundance. A higher Healthy Eating Index for a habitual diet was associated with a compositional increase in fecal butyrate relative to acetate and propionate. SCFAs were associated with markers of subclinical gastrointestinal (GI) inflammation. Fecal SCFA abundance was inversely related to plasma lipopolysaccharide-binding protein. When we analyzed hierarchically organized diet and microbiome data with taxonomy-aware algorithms, we observed that diet and microbiome features were far more predictive of fecal SCFA abundances compared to plasma SCFA abundances. The top diet and microbiome predictors of fecal butyrate included potatoes and the thiamine biosynthesis pathway, respectively.

Conclusions

These results suggest that resistant starch in the form of potatoes and microbially produced thiamine provide a substrate and essential cofactor, respectively, for butyrate synthesis. Thiamine may be a rate-limiting nutrient for butyrate production in adults. Overall, these findings illustrate the complex biology underpinning SCFA production in the gut.
This trial was registered at clinicaltrials.gov as NCT02367287.
背景:肠道微生物产生的短链脂肪酸(SCFAs)与广泛的健康益处相关。然而,目前还不完全清楚如何调节饮食和/或肠道微生物组来改善 SCFA 的产生:目的:确定健康成年人队列中 SCFAs 的膳食、炎症和/或微生物组预测因素:方法:在美国农业部营养表型研究(USDA Nutritional Phenotyping Study)中对 359 名健康成年人的粪便和血浆样本进行 SCFAs 测量。使用食物频率问卷和 ASA24 膳食回忆对习惯饮食和近期饮食进行了评估。在粪便和血浆样本中测量了全身和肠道炎症的标志物。肠道微生物组采用枪式元基因组学进行评估。通过统计和机器学习,我们确定了 SCFAs 的丰度和组成如何随饮食、炎症和肠道微生物组的变化而变化:结果:我们发现粪便 pH 值可以很好地代表粪便中 SCFA 的丰度。相对于乙酸盐和丙酸盐,较高的健康饮食指数与粪便中丁酸盐成分的增加有关。SCFA与亚临床消化道炎症的标志物有关。粪便中的 SCFA 丰度与血浆脂多糖结合蛋白成反比。当我们使用分类感知算法对分层组织的饮食和微生物组数据进行分析时,我们发现饮食和微生物组特征对粪便SCFA丰度的预测性远远高于血浆SCFA丰度。膳食和微生物组对粪便丁酸盐的最大预测因素分别包括马铃薯和硫胺素生物合成途径:这些结果表明,马铃薯中的抗性淀粉和微生物产生的硫胺素分别为丁酸盐的合成提供了底物和必要的辅助因子。硫胺素可能是成人丁酸盐生成的限速营养素。总之,这些发现说明了肠道中产生 SCFA 的复杂生物学基础。该试验已在 clinicaltrials.gov 登记为 NCT02367287。
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引用次数: 0
Association between Inflammatory Dietary Pattern and Mammographic Features 炎症性饮食模式与乳腺特征之间的关系
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.009
Shadi Azam , Sarah Asad , Saurabh D Chitnis , Katharine A Collier , Kevin H Kensler , Preeti Sudheendra , Ashley Pariser , Andrea Romanos-Nanclares , Heather Eliassen , Sagar Sardesai , John Heine , Fred K Tabung , Rulla M Tamimi , Daniel G Stover

Background

The empirical dietary inflammation pattern score (EDIP), which measures the ability of the diet to regulate chronic inflammation, is associated with both higher adiposity and breast cancer (BC) risk. Mammographic density (MD) is an important risk factor for BC.

Objective

We examined the associations between EDIP and mammographic features overall and stratified by menopausal status, and assessed the extent to which these associations are mediated by adiposity.

Methods

We included 4145 participants without BC in the Nurses’ Health Study (NHS) and NHSII. Cumulative average EDIP was assessed by food frequency questionnaires every 4–6 y. We assessed MD parameters (percent MD, dense area, and nondense area) and V (measure of grayscale variation). MD parameters were square-root transformed. Multivariable-adjusted linear regression models were used to analyze the associations between EDIP score and MD parameters. Baron and Kenny’s regression method was used to assess the extent to which the associations of EDIP and mammographic traits were mediated by BMI.

Results

In multivariable-adjusted models, EDIP was significantly inversely associated with percent MD [top compared with bottom quartile, β = –0.57; 95% confidence interval (CI): –0.78, –0.36]. Additional adjustment for BMI attenuated the association (β = –0.15; 95% CI: –0.34, 0.03), with 68% (β = 0.68, 20; 95% CI: 0.54, 0.86) mediation via BMI. In addition, EDIP was positively associated with nondense area after adjusting for BMI and other covariates. No associations were observed for dense area and V measure. Results were similar when stratified by menopausal status.

Conclusions

EDIP score was inversely associated with percent MD and positively associated with nondense area, and these associations were largely mediated by BMI.
背景:经验性膳食炎症模式评分(EDIP)可衡量膳食调节慢性炎症的能力,它与较高的脂肪率和乳腺癌(BC)风险有关。乳腺密度(MD)是乳腺癌的一个重要风险因素:我们研究了EDIP与乳房X线摄影特征之间的整体关联,并根据绝经状态进行了分层,同时评估了这些关联在多大程度上受脂肪的影响:我们在护士健康研究(NHS)和NHSII中纳入了4145名无BC的参与者。每 4-6 年通过食物频率问卷对累积平均 EDIP 进行一次评估。我们评估了乳腺X光密度(MD)参数(MD百分比、致密区域和非致密区域)和V(灰度变化度量)。MD 参数经过平方根变换。采用多变量调整线性回归模型分析 EDIP 评分与 MD 参数之间的关系。巴伦和肯尼回归法用于评估EDIP与乳腺X线摄影特征之间的关联在多大程度上受体重指数的影响:结果:在多变量调整模型中,EDIP与MD百分比显著成反比(上四分位与下四分位,β = -0.57,95% CI:-0.78 -0.36)。对体重指数(BMI)的额外调整削弱了这种关联(β= -0.15,95% CI:-0.34 -0.03),68%(β= 0.68,20 95% CI:0.54-0.86)通过体重指数进行调解。此外,在调整体重指数和其他协变量后,EDIP 与非致密区呈正相关。致密区与 V 测量值之间没有关联。根据绝经状况进行分层后,结果相似:结论:EDIP得分与MD百分比成反比,与非致密面积成正比,这些关联在很大程度上受体重指数的影响。
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引用次数: 0
Protein Biomarkers of Ultra-Processed Food Consumption and Risk of Coronary Heart Disease, Chronic Kidney Disease, and All-Cause Mortality 超加工食品摄入的蛋白质生物标志物与冠心病、慢性肾病和全因死亡率的风险
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.08.029
Shutong Du , Jingsha Chen , Hyunju Kim , Alice H Lichtenstein , Bing Yu , Lawrence J Appel , Josef Coresh , Casey M Rebholz

Background

There is a need to understand the underlying biological mechanisms through which ultra-processed foods negatively affect health. Proteomics offers a valuable tool with which to examine different aspects of ultra-processed foods and their impact on health.

Objectives

The aim of this study was to identify protein biomarkers of usual ultra-processed food consumption and assess their relation to the incidence of coronary heart disease (CHD), chronic kidney disease (CKD), and all-cause mortality risk.

Methods

A total of 9361 participants from the Atherosclerosis Risk in Communities visit 3 (1993–1995) were included. Dietary intake was assessed using a 66-item food-frequency questionnaire and the processing levels were categorized on the basis of the Nova classification. Plasma proteins were detected using an aptamer-based proteomic assay. We used multivariable linear regressions to examine the association between ultra-processed food and proteins, and Cox proportional hazard models to identify associations between ultra-processed food-related proteins and health outcomes. Models extensively controlled for sociodemographic characteristics, health behaviors, and clinical factors.

Results

Eight proteins (6 positive, 2 negative) were identified as significantly associated with ultra-processed food consumption. Over a median follow-up of 22 y, there were 1276, 3084, and 5127 cases of CHD, CKD, and death, respectively. Three, 5, and 3 ultra-processed food-related proteins were associated with each outcome, respectively. One protein (β-glucuronidase) was significantly associated with a higher risk of all 3 outcomes, and 3 proteins (receptor-type tyrosine-protein phosphatase U, C-C motif chemokine 25, and twisted gastrulation protein homolog 1) were associated with a higher risk of 2 outcomes.

Conclusions

We identified a panel of protein biomarkers that were significantly associated with ultra-processed food consumption. These proteins may be considered potential biomarkers for ultra-processed food intake and may elucidate the biological processes through which ultra-processed foods impact health outcomes.
背景:有必要了解超加工食品对健康产生负面影响的潜在生物机制。蛋白质组学为研究超标加工食品的不同方面及其对健康的影响提供了宝贵的工具:目的:确定通常食用超加工食品的蛋白质生物标志物,并评估它们与冠心病、慢性肾病发病率和全因死亡风险的关系:方法:共纳入 9361 名社区动脉粥样硬化风险(ARIC)第 3 次访问(1993-1995 年)的参与者。采用 66 项食物频率问卷评估膳食摄入量,并根据 Nova 分类法对加工程度进行分类。血浆蛋白质采用一种基于适配体的蛋白质组测定法进行检测。我们使用多变量线性回归来研究超标加工食品与蛋白质之间的关系,并使用 Cox 比例危险模型来确定超标加工食品相关蛋白质与健康结果之间的关系。模型广泛控制了社会人口特征、健康行为和临床因素:结果:共发现 8 种蛋白质(6 种为阳性,2 种为阴性)与超标加工食品消费有显著相关性。在中位 22 年的随访中,冠心病、慢性肾病和死亡病例分别为 1 276 例、3 084 例和 5 127 例。每种结果分别与三种、五种和三种超加工食品相关蛋白质有关。一种蛋白质(β-葡萄糖醛酸酶)与三种结果的较高风险显著相关,三种蛋白质(受体型酪氨酸蛋白磷酸酶U、C-C motif趋化因子25和扭转胚胎蛋白同源物1)与两种结果的较高风险相关:我们发现了一组与超加工食品消费显著相关的蛋白质生物标志物。这些蛋白质可被视为超加工食品摄入量的潜在生物标志物,并可阐明超加工食品影响健康结果的生物过程。
{"title":"Protein Biomarkers of Ultra-Processed Food Consumption and Risk of Coronary Heart Disease, Chronic Kidney Disease, and All-Cause Mortality","authors":"Shutong Du ,&nbsp;Jingsha Chen ,&nbsp;Hyunju Kim ,&nbsp;Alice H Lichtenstein ,&nbsp;Bing Yu ,&nbsp;Lawrence J Appel ,&nbsp;Josef Coresh ,&nbsp;Casey M Rebholz","doi":"10.1016/j.tjnut.2024.08.029","DOIUrl":"10.1016/j.tjnut.2024.08.029","url":null,"abstract":"<div><h3>Background</h3><div>There is a need to understand the underlying biological mechanisms through which ultra-processed foods negatively affect health. Proteomics offers a valuable tool with which to examine different aspects of ultra-processed foods and their impact on health.</div></div><div><h3>Objectives</h3><div>The aim of this study was to identify protein biomarkers of usual ultra-processed food consumption and assess their relation to the incidence of coronary heart disease (CHD), chronic kidney disease (CKD), and all-cause mortality risk.</div></div><div><h3>Methods</h3><div>A total of 9361 participants from the Atherosclerosis Risk in Communities visit 3 (1993–1995) were included. Dietary intake was assessed using a 66-item food-frequency questionnaire and the processing levels were categorized on the basis of the Nova classification. Plasma proteins were detected using an aptamer-based proteomic assay. We used multivariable linear regressions to examine the association between ultra-processed food and proteins, and Cox proportional hazard models to identify associations between ultra-processed food-related proteins and health outcomes. Models extensively controlled for sociodemographic characteristics, health behaviors, and clinical factors.</div></div><div><h3>Results</h3><div>Eight proteins (6 positive, 2 negative) were identified as significantly associated with ultra-processed food consumption. Over a median follow-up of 22 y, there were 1276, 3084, and 5127 cases of CHD, CKD, and death, respectively. Three, 5, and 3 ultra-processed food-related proteins were associated with each outcome, respectively. One protein (β-glucuronidase) was significantly associated with a higher risk of all 3 outcomes, and 3 proteins (receptor-type tyrosine-protein phosphatase U, C-C motif chemokine 25, and twisted gastrulation protein homolog 1) were associated with a higher risk of 2 outcomes.</div></div><div><h3>Conclusions</h3><div>We identified a panel of protein biomarkers that were significantly associated with ultra-processed food consumption. These proteins may be considered potential biomarkers for ultra-processed food intake and may elucidate the biological processes through which ultra-processed foods impact health outcomes.</div></div>","PeriodicalId":16620,"journal":{"name":"Journal of Nutrition","volume":"154 11","pages":"Pages 3235-3245"},"PeriodicalIF":3.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systematic Review on the Impact of Plant-Based Milk Consumption on Growth and Nutrition in Children and Adolescents 关于饮用植物奶对儿童和青少年生长和营养影响的系统性综述。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.010
Izabela Soczynska , Bruno R da Costa , Deborah L O’Connor , David JA Jenkins , Catherine S Birken , Charles DG Keown-Stoneman , Curtis D’Hollander , Sabine Calleja , Jonathon L Maguire

Background

Children are increasingly consuming plant-based milks, yet the impact on their growth and nutrition is unclear.

Objective

This systematic review aimed to summarize the available evidence on the impact of plant-based milk consumption on growth and nutrition in children and adolescents.

Methods

MEDLINE, Embase (Excerpta Medica Database), EBM Reviews – Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews, Cumulative Index to Nursing and Allied Health Literature, Child Development and Adolescent Studies, and Scopus were comprehensively searched from 2000 to 2024 to identify studies evaluating the growth and nutritional effects of plant-based milk consumption in children aged 1–18 y. Two reviewers independently screened full-text articles, assessed their quality, and extracted data.

Results

A total of 6 studies were identified: 3 cross-sectional studies, 1 prospective cohort study, and 2 clinical trials (total n = 15,815). Observational studies found that consumption of plant-based milk was associated with lower childhood body mass index (BMI), height, and serum vitamin D concentrations compared with cow milk. No association was found between soy milk consumption and BMI in adolescent girls. Low-quality clinical trials showed minimal effects on growth, and 1 study found that adolescent girls with low calcium intake who consumed fortified soy milk had higher bone density compared with those who did not consume soy milk.

Conclusions

Available evidence suggests that children who consume plant-based milk may have lower BMI, height, and micronutrient intake compared with those who consume cow milk, whereas fortified soy milk may support bone health in adolescents who do not drink cow milk. Longitudinal studies and randomized controlled trials are needed to determine whether these associations persist over time, differ between children and adolescents or among those who consume soy milk, and to understand the potential underlying mechanisms.
This trial was registered at PROSPERO as CRD42022367269.
背景:儿童越来越多地饮用植物基牛奶,但其对儿童生长和营养的影响尚不清楚:本系统综述旨在总结食用植物奶对儿童和青少年生长与营养影响的现有证据:方法:对 2000 年至 2024 年的 MEDLINE、Embase(Excerpta Medica 数据库)、EBM Reviews - Cochrane Central Register of Controlled Trials 和 Cochrane Database of Systematic Reviews、CINAHL(Cumulative Index to Nursing and Allied Health Literature)、Child Development and Adolescent Studies 和 Scopus 进行了全面检索,以确定评估饮用植物基牛奶对 1-18 岁儿童生长和营养影响的研究:结果:共确定了 6 项研究:结果:共确定了 6 项研究:3 项横断面研究、1 项前瞻性队列研究和 2 项临床试验(总人数 = 15,815 人)。观察性研究发现,与牛奶相比,饮用植物性牛奶与较低的儿童体重指数、身高和较低的血清维生素 D 水平有关。在少女中,豆奶的饮用量与体重指数之间没有关联。低质量的临床试验显示,豆奶对生长的影响微乎其微,一项研究发现,钙摄入量低的少女饮用强化豆奶后,骨密度高于不饮用豆奶的少女:现有证据表明,与饮用牛奶的儿童相比,饮用植物性牛奶的儿童的体重指数、身高和微量元素摄入量可能较低,而强化豆奶可能有助于不饮用牛奶的青少年的骨骼健康。我们需要进行纵向研究和研究性试验,以确定这些关联是否会随着时间的推移而持续,在儿童和青少年之间或饮用豆奶的青少年之间是否存在差异,并了解潜在的内在机制:本系统综述已在 PROSPERO 注册(注册号:CRD42022367269)。
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引用次数: 0
Potential and Metabolic Impacts of Double Enrichments of Docosahexaenoic Acid and 25-Hydroxy Vitamin D3 in Tissues of Broiler Chickens 肉鸡组织中双重富集二十二碳六烯酸和 25- 羟基维生素 D3 的潜力和代谢影响。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.022
Sahil Kalia , Andrew D Magnuson , Tao Sun, Ziqiao Sun, Xin Gen Lei

Background

Chicken may be enriched with 25-hydroxy D3 [25(OH)D3] and docosahexaenoic acid (DHA) to enhance the dietary intake of the public.

Objectives

Two experiments (Expt.) were conducted to determine the potential and metabolic impacts of enriching both DHA and 25(OH)D3 in the tissues of broiler chickens.

Methods

In Expt. 1, 144 chicks (6 cages/treatment and 6 birds/cage) were fed a corn–soybean meal basal diet (BD), BD + 10,000 IU 25(OH)D3/kg [BD + 25(OH)D3], BD + 1% DHA-rich Aurantiochytrium (1.2 g DHA/kg; BD + DHA), or BD + 25(OH)D3+DHA for 6 wk. In Expt. 2, 180 chicks were fed the BD, BD + DHA-rich microalgal oil (1.5–3.0 g DHA/kg, BD + DHA), BD + DHA + eicosapentaenoic acid (EPA)-rich microalgae (0.3–0.6 g EPA/kg, BD + DHA + EPA), BD + DHA + 25(OH)D3 [6000 to 12,000 IU/kg diet; BD + DHA + 25(OH)D3], and BD + DHA + EPA + 25(OH)D3 for 6 wk.

Results

Supranutrition of these 2 nutrients resulted in 57–62 mg DHA and 1.9–3.3 μg of 25(OH)D3/100 g of breast or thigh muscles. The DHA enrichment was independent of dietary EPA or 25(OH)D3, but that of 25(OH)D3 in the liver was decreased (68%, P < 0.05) by dietary DHA in Expt. 1. Compared with BD, BD + 25(OH)D3 enhanced (P < 0.05) gene expression related to D3 absorption (scavenger receptor class B type 1 and Niemann-pick c1 like 1) in the liver and D3 degradation (cytochrome P450 24A1) in the breast, and decreased mRNA or protein concentrations of vitamin D binding protein in the adipose tissue or thigh muscle. Supranutrition of DHA decreased mRNA concentrations of lipid metabolism-related genes (fatty acid desaturase 1,2, ELOVL fatty acid elongase 5, fatty acid desaturase 2, fatty acid synthase, and sterol regulatory element-binding protein 1).

Conclusions

Both DHA and 25(OH)D3 were enriched in the muscles up to meeting 50%–100% of the suggested intakes of these nutrients by consuming 2 servings of 100 g of fortified chicken. The enrichments altered gene expression related to lipid biosynthesis and vitamin D transport or storage.
背景:鸡肉可富含 25- 羟基 D3 [25(OH)D3] 和二十二碳六烯酸 (DHA),以提高公众的膳食摄入量:进行了两项实验,以确定在肉鸡组织中富含 DHA 和 25(OH)D3 的潜在影响和代谢影响:在试验 1 中,144 只雏鸡(6 个笼子/处理,6 只/笼子)连续 6 周饲喂玉米-豆粕基础日粮(BD)、BD+10,000 IU 25(OH)D3/kg [BD+25(OH)D3]、BD+1% 富含 DHA 的金黄色葡萄球菌(1.2 g DHA/kg;BD+DHA)或 BD+25(OH)D3+DHA。在试验 2 中,给 180 只小鸡喂食 BD、BD+富含 DHA 的微藻油(1.5 至 3.0 克 DHA/千克,BD+DHA)、BD+DHA + 富含二十碳五烯酸(EPA)的微藻(0.3至0.6克EPA/千克,BD+DHA+EPA)、BD+DHA+25(OH)D3[6,000至12,000 IU/千克膳食;BD+DHA+25(OH)D3]和BD+DHA+EPA+25(OH)D3,持续6周:每 100 克胸肌或大腿肌肉中含有 57 至 62 毫克 DHA 和 1.9 至 3.3 微克 25(OH)D3。DHA 的富集与膳食 EPA 或 25(OH)D3 无关,但在试验 1 中,膳食 DHA 会降低肝脏中 25(OH)D3 的含量(68%,P < 0.05)。与BD相比,BD+25(OH)D3会增强(P<0.05)肝脏中与D3吸收相关的基因表达(SRB1、NPC1L1)和乳腺中与D3降解相关的基因表达(CYP24A1),并降低脂肪组织或大腿肌肉中维生素D结合蛋白的mRNA或蛋白水平。过量摄入 DHA 会降低脂质代谢相关基因(FADS1、2、ELOVL5、FADS2、FASN 和 SREBP1)的 mRNA 水平:通过食用两份 100 克强化鸡肉,肌肉中的 DHA 和 25(OH)D3 均可达到建议摄入量的 50%至 100%。富集改变了与脂质生物合成和维生素 D 运输或储存有关的基因表达。
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引用次数: 0
Assessing Muscle Protein Synthesis Rates In Vivo in Humans: The Deuterated Water (2H2O) Method 评估人体体内肌肉蛋白质合成率:氘化水 (2H2O) 法。
IF 3.7 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-01 DOI: 10.1016/j.tjnut.2024.09.012
Andrew M Holwerda , Philip J Atherton , Kenneth Smith , Daniel J Wilkinson , Stuart M Phillips , Luc JC van Loon
Skeletal muscle tissue is in a constant state of turnover, with muscle tissue protein synthesis and breakdown rates ranging between 1% and 2% across the day in vivo in humans. Muscle tissue remodeling is largely controlled by the up- and down-regulation of muscle tissue protein synthesis rates. Research studies generally apply stable isotope-labeled amino acids to assess muscle protein synthesis rates in vivo in humans. Following labeled amino acid administration in a laboratory setting, muscle tissue samples are collected over several hours to assess the incorporation rate of these labeled amino acids in muscle tissue protein. To allow quantification of bulk muscle protein synthesis rates over more prolonged periods, the use of deuterated water methodology has regained much interest. Ingestion of daily boluses of deuterium oxide results in 2H enrichment of the body water pool. The available 2H-atoms become incorporated into endogenously synthesized alanine primarily through transamination of pyruvate in the liver. With 2H-alanine widely available to all tissues, it becomes incorporated into de novo synthesized tissue proteins. Assessing the increase in tissue protein-bound 2H-alanine enrichment in muscle biopsy samples over time allows for the calculation of muscle protein synthesis rates over several days or even weeks. As the deuterated water method allows for the assessment of muscle tissue protein synthesis rates under free-living conditions in nonlaboratory settings, there is an increasing interest in its application. This manuscript describes the theoretical background of the deuterated water method and offers a comprehensive tutorial to correctly apply the method to determine bulk muscle protein synthesis rates in vivo in humans.
骨骼肌组织处于不断更替的状态,人体肌肉组织蛋白质的合成和分解率在一天中介于 1-2% 之间。肌肉组织的重塑在很大程度上受肌肉组织蛋白质合成率上调和下调的控制。研究通常采用稳定同位素标记氨基酸来评估人体内的肌肉蛋白质合成率。在实验室环境中施用标记氨基酸后,会在数小时内采集肌肉组织样本,以评估这些标记氨基酸在肌肉组织蛋白质中的结合率。为了对肌肉蛋白质的合成率进行更长时间的量化,使用氘化水的方法重新引起了人们的兴趣。每天摄入氧化氘(2H2O)会使体内水池富含 2H。可获得的 2H 原子主要通过肝脏中丙酮酸的转氨作用与内源性合成的丙氨酸结合。由于所有组织都能广泛获得 2H-丙氨酸,因此 2H-丙氨酸会被纳入新合成的组织蛋白质中。通过评估肌肉活检样本中组织蛋白结合的 2H-丙氨酸富集度随时间推移而增加的情况,可以计算出几天甚至几周的肌肉蛋白质合成率。由于氘化水法可用于评估非实验室环境下自由生活条件下的肌肉组织蛋白质合成率,因此人们对其应用的兴趣与日俱增。本手稿介绍了氘化水法的理论背景,并提供了正确应用该方法测定人体体内肌肉蛋白质合成率的综合教程。
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Journal of Nutrition
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